• Title/Summary/Keyword: On-site treatment

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Survey on the Treatment of Postherpetic Neuralgia in Korea: Multicenter Study of 1,414 Patients

  • Nahm, Francis Sahngun;Kim, Sang Hun;Kim, Hong Soon;Shin, Jin Woo;Yoo, Sie Hyeon;Yoon, Myung Ha;Lee, Doo Ik;Lee, Youn Woo;Lee, Jun Hak;Jeon, Young Hoon;Jo, Dae Hyun
    • The Korean Journal of Pain
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    • v.26 no.1
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    • pp.21-26
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    • 2013
  • Background: Postherpetic neuralgia (PHN) is a serious complication resulting from herpes zoster infections, and it can impair the quality of life. In order to relieve pain from PHN, various treatments, including pharmacological and interventional methods have been used. However, little information on the recommendations for the interventional treatment of PHN, along with a lack of nation-wide surveys on the current status of PHN treatment exists. This multicenter study is the first survey on the treatment status of PHN in Korea. Methods: Retrospective chart reviews were conducted on the entire patients who visited the pain clinics of 11 teaching hospitals from January to December of 2011. Co-morbid disease, affected site of PHN, routes to pain clinic visits, parenteral/topical medications for treatment, drugs used for nerve block, types and frequency of nerve blocks were investigated. Results: A total of 1,414 patients' medical records were reviewed. The most commonly affected site was the thoracic area. The anticonvulsants and interlaminar epidural blocks were the most frequently used pharmacological and interventional methods for PHN treatment. For the interval of epidural block, intervals of 5 or more-weeks were the most popular. The proportion of PHN patients who get information from the mass media or the internet was only 0.8%.The incidence of suspected zoster sine herpete was only 0.1%. Conclusions: The treatment methods for PHN vary among hospitals. The establishment of treatment recommendation for PHN treatment is necessary. In addition, public relations activities are required in order to inform the patients of PHN treatments by pain clinicians.

A Review of the TCM Articles about Cauterization Treatment (낙법(烙法)에 관한 중의(中醫) 논문 고찰)

  • Jang, Ho-Jeong;Lee, Hyeon-Joo;Seo, Hyung-Sik
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.31 no.3
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    • pp.60-66
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    • 2018
  • Objectives : The purpose of this study is to review the chinese published papers on cauterization of traditional chinese medicine. Methods : We searched chinese published papers from 1958 until May 2017 via CNKI(China National Knowledge Infrastructure) with the keyword "cauterization". We analyzed the studies covered cauterization medical treatment, and classified them by 5 categories including periods, type of study, treatment site, experiment target site, and cauterizing method. Results : We reviewed 112 chinese papers which include 10 Original articles, 43 Review articles, and 59 Case reports. Examining yearly distributions, we can see that research on cauterization is becoming more active than in the past. In classification of 93 clinical studies by treatment site, the number of research on Tonsillitis accounts for almost half(43 studies), followed by Sore throat(14 studies). Among 10 experimental studies, Eye is the most frequently targeted organ which was used to study high intra-ocular pressure(5 studies), and retinal ganglion cell(2 studies). Lastly, there are various methods of cauterization used in papers: Branding iron(54 studies), and Red-hot needle(24 studies) are two major heating methods. Conclusions : This analysis shows that studies on the application of cauterization have been actively conducted in China these days. Furthermore, up-to-date cauterizing methods have been developed such as electric type and microwave type beyond traditional ways. We expect this article will encourage further research on cauterization in order to apply it to a variety of diseases. Then, it could become one of new effective medical treatments in Korean medicine.

Development of On-Site Process for Refractory 2,4-Dichlorophenol Treatment (난분해성 2,4-Dichlorophenol 처리를 위한 원위치 처리 프로세스 개발 연구)

  • Park, Kyeong-Deok;Kim, Il-Kyu
    • Journal of Power System Engineering
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    • v.20 no.1
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    • pp.42-49
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    • 2016
  • This study showed that on-site ferrate(VI) solution was synthesized by wet oxidation method and applied aqueous 2,4-dichlorophenol(DCP) solution to evaluate the degradation efficiency. On-site ferrate(VI) solution was synthesized by putting $FeCl_3{\cdot}6H_2O$ in the strong alkali solution with NaClO and NaOH and applied DCP solution directly. DCP solution was extracted by the liquid-liquid method and analyzed by GC-ECD. The factors such as pH, DCP initial concentration, injected ferrate(VI) dosage, temperature were investigated. The optimum pH and temperature conditions of DCP degradation were obtained in neutral condition and $35^{\circ}C$. And the experimental results showed that DCP removal efficiency also increased with the decrease of DCP initial condition and the injected ferrate(VI) dosage.

Impact of Livestock-production Wastewater on Water Pollution (가축분뇨수의 무단방류가 샛강오염에 미치는 영향)

  • Choe, Hong-Rim;Son, Jae-Ho;Ryu, Sun-Ho
    • Journal of Korean Society of Rural Planning
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    • v.2 no.1
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    • pp.69-78
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    • 1996
  • Environmental impact assessment survey reflecting farmers` opinion on the residence and production space in rural settlement area by ORD showed that more than 86% of respondents thought their reservoirs and waterways (small rivers) were getting seriously contaminated primarily by garbage and livestock manure. A typical rural settlement unit was taken to assess the impact of improper management of livestock manure in the farms on the water quality of small river flowing down along the villages where swine and dairy farms were situated in Daejook 2, 3-ri, Seolseong-myun, Icheon-gun. Nitrogen compounds such as NO$_3$-N, NO$_2$-N, NH$_3$-N, and phosphorus compound H$_x$PO$_4$, DO, BOD$_5$, COD, and microbial density were analyzed to evaluate water quality at five test sites designated along the water stream. Tests showed. for example, BOD$_5$ at site 4 was average 9.2mg/l which was about 3~8 times higher than that of observation site 2 and 3, at which most livestock houses were situated. This is a clear evidence that the nutrients of livestock manure illegally discharged to small river can lead to an eutrophication of the river at downstream. A soil absorption system with aeration could be one of alternatives to treat the contaminated wastewater by livestock manure. The place at downstream, inbetween observation site 1 and 2, could be the best construction site for the treatment facility from the standpoint of the overall treatment efficiency, An enclosed composting system can also be regarded as a good alternative for treatment of the sludge which is the by-product of the soil absorption system operation.

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Evaluation of Intralesional Injection Therapy for Pediatric Lymphangiomas Classified with MRI (자기공명영상으로 분류한 소아 임파관종 주사 요법의 평가)

  • Kim, In-Kyu;Moon, Suk-Bae;Baek, Sin-Hyen;Seo, Jeong-Meen;Lee, Suk-Koo
    • Advances in pediatric surgery
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    • v.15 no.2
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    • pp.113-120
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    • 2009
  • Pediatric lymphangioma can occur at any site. However the neck is the most common site. There are two treatment modalities (surgical excision and intralesional injection) for lymphangiomas. But, the treatment guide line for lymphangioma has not been established, yet. The aim of this study is to establish the treatment guide line based on our experience with lymphangiomas. Medical records of 82 cases of lymphangioma were reviewed retrospectively. On MRI (magnetic resonance image) findings, lymphangiomas were divided into 4 groups by the proportion of the cyst bigger than 2 cm in diameter of the tumor; group A-proportion of cyst occupies more than 75%, group B-proportion of the cyst 50~75%, group C-25~50%, and D in less than 25%. All patients were treated with OK-432 intralesional injection as the initial treatment. The effective response rates of OK-432 in group A & B were 88.2% and 88.8%, respectively. Group C response was 38.0% and D only 20.0%. Twenty-three patients received surgical excision. The result of surgical excision was generally satisfactory. Surgical site infection occurred in 1 case and postoperative bleeding in 1 case. Theses results indicate that intralesional injection of OK-432 could be the first line therapy in group A & B. In group C, OK-432 would be better as the first line therapy than surgery. For the group D, surgical excision should be the first line of treatment.

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Biological behavior and Treatment of Adenoid Cystic Carcinoma in The Bead and Neck (두경부 선낭암의 생물학적 특성과 치료)

  • Oh W. Y.;Cho K. H.;Suh C. O.;Kim G. E.
    • Radiation Oncology Journal
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    • v.2 no.2
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    • pp.191-202
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    • 1984
  • Biological behavior and treatment results of 33 patients with Adenoid Cystic Carcinoma (ACC) in the Head and Neck at Yonsei Cancer Confer for 10 years between 1971 and 1980 were retrospectively analysed. Most common, primary site was minor salivary glands such as maxillary sinus, nasal cavity and base of tongue. The typical biological behavior of these tumors was very slowly in growth with long time of duration(mean 19 months) from 1 month to 10 years and more frequent of nerve invasion but rare invasion of neck nodes. Local control and failure pattern in the results of treatment, 16 of 17 patients with irradiation alone were seen complete or partial response but 5 cases of locoregional recurrence, 2 cases of failure of neck node and 4 cases of distant metastasis as lung and brain. On the other hand, among 10 cases of surgery and postoperative irradiation, 2 cases of locoregional failure and 3 cases of distant metastasis as lung and bone. 2 of 4 cases with surgery alone were recurred within primary site. Actuarial overall NED survival at 3 ana 10 years were $52.6\%$ and $42.8\%$, respectively. Survival rate of 10 Patients with surgery and Postoperative irradiation was more high than 17 Patients of radiation alone. Therefore, we have known that surgery with postoperative adjunctive irradiation is most effective treatment modality of adenoid cystic carcinoma in the head and neck. Primary site, treatment modality and with or without nerve ana bone invasion have influenced on prognosis.

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Assessment of Soil Washing Efficiency for Arsenic Contaminated Site Adjacent to Jang Hang Refinery (장항제련소 주변 비소오염토양의 특성분석에 따른 토양세척 처리효율 평가)

  • Moon, So-Young;Oh, Min-Ah;Jung, Jun-Kyo;Choi, Sang-Il;Lee, Jai-Young
    • Journal of Soil and Groundwater Environment
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    • v.16 no.1
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    • pp.71-81
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    • 2011
  • Cause of contamination in the study area nearby Jang Hang Refinery is dust scattering in refinery stack, and soil washing treatment is one of the proper technologies for soil remediation in this area. Site conditions frequently limit the selection of a treatment process. A treatment technology may be eliminated based on the soil classification or physicochemical characteristics of soil. This study was assessed the soil washing efficiency by conducting of soil characteristic analysis in the vicinity of Jang Hang Refinery Stack within a 2 km radius. Also, it was decided about remedial range with comparative analysis of As in soil by Korean Standard Test Method before/after revision, whereupon As concentration in soil showed a increasing tendency after revision. As a result, the soil washing using the size separation of soil was determined through identifying of As species in the soil. In this site, only particle size distribution and water content of soil can provide the initial means of screening for the potential use of soil washing.

Anti-nociceptive effect of bee venom treatment on chronic arthritic pain in rats

  • Kwon, Young-bae;Lee, Jae-dong;Lee, Hye-jung;Han, Ho-jae;Lee, Jang-hern
    • Korean Journal of Veterinary Research
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    • v.39 no.4
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    • pp.715-723
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    • 1999
  • Bee venom (BV) has been traditionally applied to relieve pain and to cure inflammatory diseases such as rheumatoid arthritis (RA) and neuritis. While several investigators have evaluated the anti-inflammatory effect of BV treatment, the anti-nociceptive effect of BV treatment on inflammatory pain is not reported. Therefore, we decided to evaluate the analgesic effect of BV treatment using Freund's adjuvant induced chronic arthritis model. Freund's adjuvant-induced arthritis has been used as an experimental animal model for RA in humans to assess the efficacy of the anti-inflammatory/analgesic drugs. In this study, subcutaneous BV treatment (1mg/kg/day) produced significantly reductions of symptoms related to arthritic pain (i.e. mechanical hyperalgesia and thermal hyperalgesia). The anti-nociceptive effect of BV was observed from at least 12 days after BV treatment. Furthermore, BV treatment significantly suppressed adjuvant induced Fos expression in lumbar spinal cord. We also found that local injection of BV into near the inflammatory site (especially Zusanli-acupoint) showed more potent analgesic effect on arthritic pain rather than distant injection of BV from inflammatory site (arbitrary side of back). The present study demonstrates that BV treatment has anti-nociceptive effect on arthritis induced inflammatory pain. The analgesic effect of BV on RA is probably mediated by the effect of BV itself or possible other mechanism such as counter-irritation. Furthermore, it is possible that BV acupuncture is one of the promising candidates for long-term therapy of RA.

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Loess and Lime Treatment for Modification of Waterworks Sludges (황토와 석회의 혼합처리에 의한 정수 슬러지의 개질화에 관한 연구)

  • Lim, Sung-Jin;Cho, Jae-Jun;Lee, Jae-Bok
    • Journal of Korean Society of Water and Wastewater
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    • v.14 no.4
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    • pp.318-327
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    • 2000
  • Sludge production from water treatment plants is increasing each year because water resources deterioration is proceeding and water supply facilities are growing due to water demand increase. Water treatment plant sludges can be modified to soil cover in sanitary landfilling site through the lime treatment and other alternatives. The compression strength of $1.0kg/cm^2$ is necessary for the dozer operation on soft son cover material at municipal landfilling site. Modified sludge was experimentally produced in this study with lime, bentonite, loess, and activated loess dosing. X-ray diffraction patterns of the limed water treatment plant sludge confirmed the presence of calcium carbonate and ettringite. Unconfined compression strength properties of modified sludges showed material property improvement applicable for soil cover alternatives. When adding 20-30% activated loess to water treatment plant sludges. the modified sludges could reach the compression strength for cover soil after 7 days solidification reaction, but decrease of compression strength was intentioned in 28 days reaction period. Solidification effect of the modified sludge with activated loess was observed through the scanning electron microscope.

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